Metastasis-free interval in breast cancer patients: Thirty-year trends and time dependency of prognostic factors. A retrospective analysis based on a single institution experience.
CONCLUSION: The current study showed an improvement in the prognosis of breast cancer patients over the past 30 years and pointed to the importance of evaluating covariates with time-varying effects. PMID: 29102782 [PubMed - as supplied by publisher] (Source: Breast)
Source: Breast - November 2, 2017 Category: Cancer & Oncology Authors: Houzé de l'Aulnoit A, Rogoz B, Pinçon C, Houzé de l'Aulnoit D Tags: Breast Source Type: research

Assessing the burden of Clostridium difficile infections for hospitals
Conclusion We discuss the notion of productivity gains in the case of deaths as a factor revealing the incompleteness of the payment systems. We then discuss the methodological issues associated with the statistical method used to control for temporality bias. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - September 8, 2017 Category: Infectious Diseases Source Type: research

Pregnancy outcomes of diabetic women: Charting Oman ’s progress towards the goals of the Saint Vincent Declaration
CONCLUSION: The findings indicate that many of the unfavorable pregnancy outcomes of diabetes for women and infants have not been brought under control despite the comprehensive care provided. Further studies are recommended to evaluate the system of care provided to pregnant women and to identify gaps in achieving the goals of the St. Vincent Declaration.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 23, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research

Gatekeepers ’ perceptions of the quality and availability of services for breast and cervical cancer patients in the English-speaking Windward Islands: an exploratory investigation
ConclusionThe findings of this study emphasize the varying social determinants of health that affect breast and cervical cancer prevention and treatment. It also highlights the disparities in availability of treatment within the wider Caribbean. It is necessary to broaden the perspective on health from a purely biomedical paradigm to a social perspective. (Source: Cancer Causes and Control)
Source: Cancer Causes and Control - July 21, 2017 Category: Cancer & Oncology Source Type: research

Prevalence of high-risk human papillomavirus among women in two English-speaking Caribbean countries.
Conclusions: These results contribute to the evidence on HPV prevalence for small island states of the Caribbean and support the accelerated introduction of the 9-valent HPV vaccine in the two countries and elsewhere in the English-speaking Caribbean. Use of the study's results to guide the development of policy regarding implementation of HPV testing as the primary screening modality for older women is recommended. PMID: 28614466 [PubMed - in process] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - June 16, 2017 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Auditing the frequency and the clinical and economic impact of testing for Fabry disease in patients under the age of 70 with a stroke admitted to Saint Vincent ’s University Hospital over a 6-month period
ConclusionBroad screening programmes for Fabry disease are highly unlikely to offset the cost of testing. The efficacy of future screening programmes will depend on careful selection of an appropriate patient cohort of young stroke patients with multi-organ morbidity and a positive family history. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - May 3, 2017 Category: Journals (General) Source Type: research

Knowledge of and Attitudes Toward Alcoholism Among Church Leaders in Saint Vincent/Grenadines
This study examined SVG clergy ’s potential role in community alcohol interventions. We recruited clergy through a chain referral method. We gathered data through 30 semi-structured interviews and qualitatively coded interview transcripts for themes relevant to the topic of alcoholism. We found that SVG church leaders have cons iderable knowledge regarding alcoholism on both personal and societal levels. The church leaders’ consistent concern about drinking problems in their communities and their commitment to community outreach suggest they are an energetic resource that should be utilized in future AUD interventions....
Source: International Journal of Mental Health and Addiction - April 24, 2017 Category: Addiction Source Type: research

Phenotypical characterization of peanut allergic children with differences in cross ‐allergy to tree nuts and other legumes
ConclusionsThe three phenotypes highlighted by the present study could be useful to identify children with high risk of cross‐allergic reaction to TNs and legumes early after PA diagnosis.This article is protected by copyright. All rights reserved. (Source: Pediatric Allergy and Immunology)
Source: Pediatric Allergy and Immunology - January 31, 2017 Category: Allergy & Immunology Authors: Mathias Cousin, St éphane Verdun, Maxime Seynave, Anne‐Christine Vilain, Amélie Lansiaux, Anne Decoster, Christine Sauvage Tags: Original Source Type: research

Improving Disability Care in Countries of the Bolivarian Alliance for the Peoples of Our America.
Authors: Portuondo-Sao M, Cobas-Ruiz M, Zacca-Peña E, Lantigua-Cruz A, López-García J, Boligán-Jomarrón Y, Leyva-Serrano M, Herrera-Armenteros A, Morales-Suárez IR Abstract Persons with disabilities constitute one of the most vulnerable groups in every society; their identification, assessment and care present a major challenge. In 2001-2003, Cuba conducted the first comprehensive national study of persons with disabilities in the Americas. In 2007-2010, the study was replicated in Bolivia, Ecuador, Nicaragua, Saint Vincent and the Grenadines, and Venezuela, at their governments' request. Study resul...
Source: MEDICC Review - August 13, 2016 Category: Global & Universal Tags: MEDICC Rev Source Type: research

EPA prevents fat mass expansion and metabolic disturbances in mice fed with a Western diet [Research Articles]
In conclusion, supplementation with EPA, but not ALA and DHA, could preserve glucose homeostasis in an obesogenic environment and limit fat mass accumulation in the early stage of weight gain. (Source: The Journal of Lipid Research)
Source: The Journal of Lipid Research - July 31, 2016 Category: Lipidology Authors: Pinel, A., Pitois, E., Rigaudiere, J.-P., Jouve, C., De Saint-Vincent, S., Laillet, B., Montaurier, C., Huertas, A., Morio, B., Capel, F. Tags: Research Articles Source Type: research

Community Effect of Alcoholism: A Photovoice Study in Saint Vincent and the Grenadines
Abstract The Icahn School of Medicine at Mount Sinai and the Saint Vincent/Grenadines Ministry of Health, Wellness and the Environment have been collaborating since 2012 in addressing the plight of alcoholism in Saint Vincent and the Grenadines (SVG). SVG is a middle-income country with few resources available for those who suffer from alcohol use disorders, and these efforts have centered on establishing and monitoring alcohol self-help groups based on the “Alcoholics Anonymous model” (AA model) in several communities in Saint Vincent and the Grenadines. In the summer of 2014, the efforts evolved to ...
Source: Psychiatric Quarterly - July 19, 2016 Category: Psychiatry Source Type: research

Travel Volume to the United States from Countries and U.S. Territories with Local Zika Virus Transmission
This study is subject to several limitations. First, travel data are based on passenger journeys and do not indicate individual passengers. Origin and final destination city and state do not necessarily indicate the actual residence of travelers. For aviation estimates, Diio Mi FMg data as well as Department of Transportation origin and destination data, do not include passenger demographics. Estimates, therefore, were based on aggregate CBP statistics by region limiting the specificity of gender and age groups. This also limits the specificity of our estimates of pregnant women. We were not able to obtain all citizenship ...
Source: PLOS Currents Outbreaks - May 31, 2016 Category: Epidemiology Authors: Bradley Nelson Source Type: research

Optical twisting to monitor the rheology of single cells.
Authors: de Saint Vincent MR Abstract We developed an optical method allowing to probe the temporal evolution of power-law rheology of single cells. The method consists in applying optically a constant mechanical torque to a birefringent microparticle bound to the cell membrane. The deformation dynamics of the membrane follows a power law of time, which directly relates to cytoskeletal prestress as reported in the literature. We monitored the temporal evolution of this rheological behaviour, over time scales of several minutes, on single adherent cells not subject to any specific treatment. The consistent ...
Source: Biorheology - May 28, 2016 Category: Biochemistry Tags: Biorheology Source Type: research

Erratum to: Willingness to participate and Pay for a proposed national health insurance in St. Vincent and the grenadines: a cross-sectional contingent valuation approach
(Source: BMC Health Services Research)
Source: BMC Health Services Research - February 23, 2016 Category: Journals (General) Authors: Rosmond Adams, Yiing-Jenq Chou and Christy Pu Source Type: research

Non-urgent accident and emergency department use as a socially shared custom: a qualitative study
Conclusions We conclude that the attitudes and habits of the Vincentian non-urgent patient are major determinants of their AED use and are intricately linked to local, socially shared practices of AED use. Findings show that health services research should reconsider rational choice behaviour models and further explore customs of health-seeking. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - December 23, 2015 Category: Emergency Medicine Authors: Keizer Beache, S., Guell, C. Tags: Open access Original article Source Type: research